Prescribing Information Important Risk Information
 
 
 

Thank you
for your submission

Now that you have submitted the proper forms for enrollment in the LILETTA Patient Savings Program®,* you will receive a confirmation via the mailing address or fax number you have supplied to us. Please allow up to 48 hours for submission review and contact the Liletta Help Desk at 1-855-706-4508 with any questions regarding your enrollment.

*Depending on insurance coverage, eligible patients pay $100, then save up to a maximum of $700, for the LILETTA® product. Offer applies to product only, and does not apply to costs associated with medical examination or product administration. Check with your pharmacist or healthcare provider for your copay discount. Patient out-of-pocket expense may vary. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Program expires 04/30/20. Please see full LILETTA Patient Savings Program® Terms, Conditions, and Eligibility Criteria here.
Indication

LILETTA® (levonorgestrel-releasing intrauterine system) 52 mg is a hormone-releasing system placed in your uterus to prevent pregnancy for as long as you want for up to 5 years.

Important Risk Information About LILETTA

LILETTA does not protect against HIV or STDs.

Available by prescription only.

Please see full Prescribing Information.

Reference: 1. LILETTA (levonorgestrel-releasing intrauterine system) 52 mg [Prescribing Information]. Irvine, CA: Allergan and Medicines360; 2018.